MEDICARE: LOVE MY FOOD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174200000X	Meals Provider
2	332U00000X	Home Delivered Meals
3	133N00000X	Nutritionist	ND 5514	FL
4	133NN1002X	Nutrition Education Nutritionist	ND 5514	FL
5	133V00000X	Registered Dietitian	ND 5514	FL

General Provider Information

NPI Number	:	1780948489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVE MY FOOD LLC

Provider Business Mailing Address
First Line	:	6 WESTMINSTER LN
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-7718
Country	:	US
Telephone Number	:	954-907-3030
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 WESTMINSTER LN
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-7718
Country	:	US
Telephone Number	:	954-907-3030
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NAVALEE HYLTON
Credential	:	MS RDN, LD/N
Telephone Number	:	954-907-3030

Provider Enumeration Date	:	06/27/2012
Last Update Date	:	12/20/2020

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Directions to “LOVE MY FOOD LLC ” Practice Location

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